Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $29.73 / $46.30	Professional		$25.09	$29.73	$46.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $23.77 / $32.22	Professional	26	$17.23	$23.77	$32.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $14.37 / $20.86	Professional	52	$12.55	$14.37	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.58 / $4.22 / $29.78	Professional	TC	$3.58	$4.22	$29.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $29.61 / $66.13	Professional		$28.54	$29.61	$66.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $25.65 / $45.38	Professional	26	$24.72	$25.65	$45.38
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $3.82 / $3.96 / $7.04	Professional	TC	$3.82	$3.96	$7.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $27.95 / $27.95	Facility	26	$27.95	$27.95	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $38.78 / $78.64	Professional		$25.68	$38.78	$78.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $25.03 / $41.66	Professional	26	$18.11	$25.03	$41.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.28 / $5.89 / $54.73	Professional	TC	$3.28	$5.89	$54.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $39.22 / $58.70	Professional		$32.93	$39.22	$58.70
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $33.99 / $50.86	Professional	26	$28.15	$33.99	$50.86
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $5.23 / $7.83	Professional	TC	$4.79	$5.23	$7.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $30.56	Professional		$30.02	$30.02	$30.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $30.77 / $69.06	Professional		$26.49	$30.77	$69.06
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $24.60 / $44.58	Professional	26	$17.23	$24.60	$44.58
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $13.14 / $14.77 / $20.97	Professional	52	$13.14	$14.77	$20.97
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $3.65 / $4.50 / $29.78	Professional	TC	$3.65	$4.50	$29.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $21.69 / $37.60	Professional		$3.10	$21.69	$37.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $27.95 / $27.95	Facility	26	$27.95	$27.95	$27.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $36.70 / $78.64	Professional		$24.44	$36.70	$78.64
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $25.62 / $45.28	Professional	26	$18.54	$25.62	$45.28
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.22 / $5.55 / $54.73	Professional	TC	$3.22	$5.55	$54.73
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $24.16 / $24.16 / $25.00	Facility	26	$24.16	$24.16	$25.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $28.26 / $67.84	Professional		$27.69	$28.26	$67.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.67 / $24.16 / $25.14	Professional	26	$23.67	$24.16	$25.14
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $4.01 / $4.09 / $42.84	Professional	TC	$4.01	$4.09	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $31.87 / $58.26	Professional		$24.26	$31.87	$58.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.53 / $24.18 / $48.29	Professional	26	$14.53	$24.18	$48.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.45 / $4.67 / $37.49	Professional	TC	$3.45	$4.67	$37.49